INSERM, UMR1153, Epidemiology and Statistics Sorbonne Paris Cité Research Center (CRESS), Early ORigins of Child Health and Development Team (ORCHAD), Villejuif, France; Paris-Descartes University, Paris, France.
EA SNA-EPIS Research Laboratory 4607, Jean Monnet University, Saint-Etienne, France.
Sleep Med. 2017 Feb;30:222-228. doi: 10.1016/j.sleep.2016.10.015. Epub 2016 Nov 17.
Few studies on the relations between sleep quantity and/or quality and cognition have been conducted among preschoolers from healthy general population. We aimed at identifying, among 36 months old children, early factors associated with intelligence quotient (IQ) estimated through the Weschler Preschool and Primary Scale Intelligence-III test and its indicators: Full-Scale-, Verbal- and Performance-IQs and their subscale scores.
We included 194 children from the French birth cohort AuBE with both available Weschler Preschool and Primary Scale Intelligence-III scores at three years and sleep data. Information was collected through self-questionnaires at birth, 6, 12, 18 and 24 months. A day/night sleep ratio was calculated.
Mean scores were in normal ranges for Verbal, Performance, and Full-Scale IQs ?. In multivariate models, being a third-born or more child and watching television ≥1 h/day at 24 months were negatively associated with all IQ scores, whereas collective care arrangement was positively associated. Night waking at six months and frequent snoring at 18 months were negatively associated with Performance IQ, some subscales, and Full Scale IQ contrary to day/night sleep ratio at 12 months. No association was observed between early sleep characteristics and Verbal IQ.
We showed that early features including infant sleep characteristics influence IQ scores at 36 months old. Some of these may be accessible to prevention.
很少有研究关注健康普通人群中学龄前儿童的睡眠量和/或质量与认知之间的关系。我们旨在确定 36 个月大的儿童中,与通过韦氏学龄前和初级量表智力测验 III 测试及其指标(全量表智商、言语智商和表现智商及其分量表得分)估计的智商相关的早期因素。
我们纳入了来自法国出生队列 AuBE 的 194 名儿童,他们在三岁时均具有可用的韦氏学龄前和初级量表智力测验 III 评分和睡眠数据。信息通过在出生、6、12、18 和 24 个月时的自我问卷收集。计算了日/夜睡眠时间比。
言语、表现和全量表智商的平均得分均处于正常范围[1,2]。在多变量模型中,是第三个或更多的孩子,以及在 24 个月时每天看电视≥1 小时,与所有智商得分呈负相关,而集体照料安排则呈正相关。6 个月时夜间醒来和 18 个月时经常打鼾与表现智商、一些分量表和全量表智商呈负相关,而 12 个月时的日/夜睡眠时间比则相反。在早期睡眠特征与言语智商之间未观察到关联。
我们表明,包括婴儿睡眠特征在内的早期特征会影响 36 个月大时的智商得分。其中一些可能可以预防。